A client is experiencing a situation in which the client feels an overwhelming loss and isolation, and exhibits disruptive behavior. This client is experiencing:
1. stress.
2. crisis.
3. maladaptive response.
4. homeostasis.
ANS: 2
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The nurse is preparing to suction a patient with an endotracheal tube. What should be the nurse's first step in the suctioning process?
A) Explain the suctioning procedure to the patient and reposition the patient. B) Turn on suction source at a pressure not exceeding 120 mm Hg. C) Assess the patient's lung sounds and SAO2 via pulse oximeter. D) Perform hand hygiene and don nonsterile gloves, goggles, gown, and mask.
If a spinal injury is suspected, before the rescuer starts CPR, the trachea should be opened with a _______ _______ maneuver
ANS:
The nurse understands that the most common use of neuromuscular blockade is to:
a. sedate clients with a head injury. b. treat the client with multiple sclerosis. c. facilitate intubation and mechanical ventilation. d. decrease spasticity and muscular rigidity.
Fill in the blanks with the appropriate term from the following list: Intuitive decision-making Rational decision-making Innovative decision-making A. __________ is the decision-making model that is a rational, cognitive process. B
__________ is often described as a decision-making process that requires "thinking outside the box." C. ___________ is the decision-making model based on patterns and cues. Fill in the blank(s) with correct word